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2009-06-03_GENERAL DOCUMENTS - C1996083
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2009-06-03_GENERAL DOCUMENTS - C1996083
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Last modified
8/24/2016 3:47:13 PM
Creation date
6/4/2009 12:53:34 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/3/2009
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JJD
Media Type
D
Archive
No
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AOORDM <br />Wells Fargo Insurance Services <br />of WV, Inc. <br />41 Eagles Road <br />Beckley WV 25801 C '! <br />(304) 252-6375 L+c.IV <br />OSURED <br />Bowie Resources,"LLC ' ` 200 <br />150061 g `Run Road Kec a(ngttOn+ <br />Ashland:: KY 41102 O t_tOnOj ??d alet <br />mvog <br />5/29/09 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A Natl Union Fire Ins Co Pgh PA <br />COMPANY <br />COMPANY <br />C <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOT WITHSTANDING ANY REQUIREMENT, TERMORCONDITIONOFANYCONTRACTOROTHER DOCUMENT WITH RESPECT TO WHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DD/YY) DATE (MM/DDIYY) <br />A GENERAL LIABILITY 6464602 5/31/09 5/31/10 GENERAL AGGREGATE $ 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br />CLAIMS MADE FX] OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br />OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br />X B I ast i ng & XCU FIRE DAMAGE (Any one fire) $ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br /> MED EXP (Any one person) $ <br /> COMBINED SINGLE LIMIT $ <br /> BODILY INJURY <br />(Per person) $ <br /> BODILY INJURY <br />(Per accident) $ <br /> PROPERTY DAMAGE $ <br />5,000 <br /> GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> H EACH ACCIDENT $ <br /> - AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE _ $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br /> <br />T ER <br />TORY I I <br />S <br /> EMPLOYERS <br />LIABILITY EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />wcaI ir11V1+VrVrCnNlW1+?/LVVNIIVI+.7/YCr11lrZC5LlrCVINLimmb Evidence of Insurance as respects Bowie #2 Mine Permit # <br />C-096-083. General Liability policy provides protection for use of explosives. <br />State of Colorado <br />Dept of Natural Resources <br />Div. of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Janice C Whitlock, AAI, CPIW <br />CERTIFICATE: 006/0011 00009
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